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Which site for temperature measurement would the nurse most likely use on a neonate

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

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  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Body temperature of 99°F or less

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Toes moved in active range of motion

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Sensation reported when soles of feet are touched

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Side-lying with knees flexed

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Knee-chest

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    High Fowler’s with knees flexed

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Taking hourly blood pressures with mechanical cuff

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Encouraging fluid intake of at least 200mL per hour

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Position in high Fowler’s with knee gatch raised

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Steak

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Cottage cheese

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Popsicle

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Adjust the room temperature

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Give a bolus of IV fluids

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Start O2

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    A family vacation in the Rocky Mountains

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Chaperoning the local boys club on a snow-skiing trip

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Traveling by airplane for business trips

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Enlarged spleen

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Elevated blood pressure

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Bradycardia

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Conjunctiva of the eye

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Soles of the feet

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Roof of the mouth

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    BP 146/88

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Respirations 28 shallow

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Weight gain of 10 pounds in six months

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “I will drink 500mL of fluid or less each day.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “I will wear support hose.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “I will check my blood pressure regularly.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client collects stamps as a hobby.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client recently lost his job as a postal worker.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The abdomen

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The thorax

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The earlobes

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “Have you noticed a change in sleeping habits recently?”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “Have you had a respiratory infection in the last six months?”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “Have you lost weight recently?”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Oral mucous membrane, altered related to chemo-therapy

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Risk for injury related to thrombocytopenia

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Fatigue related to the disease process

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Sexual dysfunction related to radiation therapy

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Anticipatory grieving related to terminal illness

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Tissue integrity related to prolonged bed rest

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Platelet count

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    White blood cell count

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Potassium levels

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Bleeding precautions

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Prevention of falls

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Oxygen therapy

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Place the client in Trendelenburg position for postural drainage.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Encourage coughing and deep breathing every two hours.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Elevate the head of the bed 30°.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Measure the urinary output.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Check the vital signs.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Encourage increased fluid intake.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Place the client in a sitting position.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Administer acetaminophen (Tylenol).

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Pinch the soft lower part of the nose.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The blood pressure

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The temperature

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The urinary output

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Glucometer readings as ordered

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Intake/output measurements

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Evaluating the sodium and potassium levels

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Obtain a crash cart.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Check the calcium level.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Assess the dressing for drainage.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Impaired physical mobility related to decreased endurance

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hypothermia r/t decreased metabolic rate

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Disturbed thought processes r/t interstitial edema

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Report muscle weakness to the physician.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Allow six months for the drug to take effect.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Take the medication with fruit juice.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Utilize an infusion pump.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Check the blood glucose level.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Place the client in Trendelenburg position.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Blood pressure of 126/80

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Blood glucose of 110mg/dL

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Heart rate of 60bpm

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Replenish his supply every three months.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Take one every 15 minutes if pain occurs.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Leave the medication in the brown bottle.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Macaroni and cheese

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Shrimp with rice

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Turkey breast

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Feet

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Neck

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hands

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Phlebostatic axis

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    PMI

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Erb’s point

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Question the order.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Administer the medications.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administer separately.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Weighing the client daily

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Measuring the extremity

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Measuring the intake and output

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Overnight stays by family members is against hospital policy.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    There is no need for him to stay because staffing is adequate.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    His wife will rest much better knowing that he is at home.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Split pea soup, mashed potatoes, pudding, milk

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Tomato soup, cheese toast, Jello, coffee

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    New parents need time to learn how to hold the baby.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The umbilical cord needs time to separate.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Newborn skin is easily traumatized by washing.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Create a synergistic effect that shortens treatment time

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Increase the number of circulating neutrophils

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hib titer

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Mumps vaccine

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hepatitis B vaccine

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    30 minutes before a meal

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    With each meal

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    In a single dose at bedtime

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Call security for assistance and prepare to sedate the client.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Tell the client that if he continues his behavior he will be punished.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Check the client for bladder distention.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Assess the blood pressure for hypotension.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Determine whether an oxytocic drug was given.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Pneumonia

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Reaction to antiviral medication

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Tuberculosis

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Diabetes

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Prinzmetal’s angina

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Cancer

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Pain on flexion of the hip and knee

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Nuchal rigidity on flexion of the neck

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Pain when the head is turned to the left side

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Agnosia

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Apraxia

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Anomia

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Chronic fatigue syndrome

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Normal aging

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Sundowning

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “You know you had breakfast 30 minutes ago.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Urinary incontinence

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Headaches

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Confusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Document the finding.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Report the finding to the doctor.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Prepare the client for a C-section.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hodgkin’s lymphoma

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Cervical cancer

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Multiple myeloma

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Syphilis

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Herpes

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Gonorrhea

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Venereal Disease Research Lab (VDRL)

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Rapid plasma reagin (RPR)

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Fluorescent treponemal antibody (FTA)

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Elevated blood glucose

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Elevated platelet count

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Elevated creatinine clearance

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Magnesium sulfate 4gm (25%) IV

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Brethine 10mcg IV

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The infant is at low risk for congenital anomalies.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The infant is at high risk for intrauterine growth retardation.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The infant is at high risk for respiratory distress syndrome.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Crying

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Wakefulness

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Jitteriness

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Decreased urinary output

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hypersomnolence

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Absence of knee jerk reflex

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Place her in Trendelenburg position.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Decrease the rate of IV infusion.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administer oxygen per nasal cannula.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Alteration in nutrition

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Alteration in bowel elimination

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Alteration in skin integrity

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Severe anemia

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Arteriosclerosis

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Liver failure

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Alteration in cerebral tissue perfusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Fluid volume deficit

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Ineffective airway clearance

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Likes to play football

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Drinks carbonated drinks

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Has two sisters

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Allow the client to keep the fruit.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Place the fruit next to the bed for easy access by the client.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Offer to wash the fruit for the client.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Place the client in Trendelenburg position.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Increase the infusion of normal saline.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administer atropine intravenously.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Order a chest x-ray.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Reinsert the tube.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Cover the insertion site with a Vaseline gauze.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Assess for signs of abnormal bleeding.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Anticipate an increase in the Coumadin dosage.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Instruct the client regarding the drug therapy.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    A granola bar

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A bran muffin

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    A cup of yogurt

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The nurse performs a vaginal exam every 30 minutes.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The nurse places a padded tongue blade at the bedside.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The nurse inserts a Foley catheter.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    18 gauge

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    19 gauge

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    22 gauge

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hypovolemia

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Laryngeal edema

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hypernatremia

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client selects a balanced diet from the menu.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client can tell the nurse the normal blood glucose level.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client asks for brochures on the subject of diabetes.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Pain at the site

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Warm fingers

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Pulses rapid

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Avoid warm climates.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Refrain from taking herbals.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Avoid exercising.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The nurse wears goggles while performing a veno-puncture.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The nurse washes his hands after changing a dressing.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Apply a tourniquet to the client’s arm.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Administer an anticonvulsant medication.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Ask the client if he is allergic to shellfish.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Rectal itching

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Nausea

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Oral ulcerations

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Treatment is not recommended for children less than 10 years of age.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Bed linens should be washed in hot water.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Medication therapy will continue for one year.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client with HIV

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client with a radium implant for cervical cancer

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client with RSV (respiratory synctial virus)

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client with diabetes

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client with pancreatitis

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Negligence

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Tort

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Assault

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Feeding the client

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Bathing the client

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Obtaining a stool

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Tell the mother to wash the face with soap and apply powder.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Report the rash to the doctor immediately.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The LPN who is six months postpartum

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The RN who is pregnant

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The RN who is allergic to iodine

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The facility fails to provide literature in both Spanish and English.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Call the Board of Nursing.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    File a formal reprimand.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Terminate the nurse.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client who is pregnant and the client with a broken arm

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The age of the child

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The child’s weight

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The developmental level of the child

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “It is okay to give my child white grape juice for breakfast.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client is at risk for opportunistic diseases.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client is no longer communicable.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Administer the two medications together.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Administer the medications in two injections.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Altered nutrition

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Impaired communication

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Risk for injury/aspiration

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hypertension

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Lassitude

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Fatigue

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Ambulation

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Oral airway assessment using a tongue blade

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Placing a blood pressure cuff on the arm

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Slow pulse

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Anorexia

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Bulging eyes

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Whole-wheat toast

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Angel hair pasta

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Reuben on rye

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Elevate the head.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Recheck the O2 saturation in 30 minutes.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Apply oxygen by mask.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Dark yellow amniotic fluid

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Clear amniotic fluid

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Greenish amniotic fluid

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Avoid eating sweets.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Report changes in urinary pattern.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Allow three hours for onset.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Reposition the monitor.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Turn the client to her left side.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Ask the client to ambulate.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Are smooth in texture

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Have irregular borders

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Are cool to touch

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Anticipate the need for a Caesarean section.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Apply an internal fetal monitor.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Place the client in Genu Pectoral position.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The cervix is closed.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The membranes are still intact.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The fetal heart tones are within normal limits.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Impaired gas exchange related to hyperventilation

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Alteration in placental perfusion related to maternal position

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The baby is sleeping.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The umbilical cord is compressed.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    There is head compression.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Notify her doctor.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Start an IV.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Reposition the client.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    A fetal heart rate of 120–130bpm

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A baseline variability of 6–10bpm

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Accelerations in FHR with fetal movement

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Her level of consciousness is such that she is in a trancelike state.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The sensation of the bladder filling is diminished or lost.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Estrogen levels are low

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Lutenizing hormone is high

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The endometrial lining is thin

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Age of the client

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Frequency of intercourse

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Regularity of the menses

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Intrauterine device

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Oral contraceptives

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Diaphragm

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Painless vaginal bleeding

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Abdominal cramping

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Throbbing pain in the upper quadrant

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hamburger patty, green beans, French fries, and iced tea

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Respiratory alkalosis without dehydration

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Metabolic acidosis with dehydration

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Respiratory acidosis without dehydration

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Elevated human chorionic gonadatropin

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The presence of fetal heart tones

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Uterine enlargement

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hypoglycemic, small for gestational age

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hyperglycemic, large for gestational age

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hypoglycemic, large for gestational age

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Weight gain should be reported to the physician.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    An alternate method of birth control is needed when taking antibiotics.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Diabetes

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    HIV

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hypertension

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Assess the fetal heart tones.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Check for cervical dilation.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Check for firmness of the uterus.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Her contractions are two minutes apart.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    She has back pain and a bloody discharge.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    She experiences abdominal pain and frequent urination.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Low birth weight

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Large for gestational age

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Preterm birth, but appropriate size for gestation

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Within 72 hours of delivery

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Within one week of delivery

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Within two weeks of delivery

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Degree of cervical dilation

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Fetal heart tones

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Client’s vital signs

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Active

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Latent

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Transition

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Teaching the mother to provide tactile stimulation

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Wrapping the newborn snugly in a blanket

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Placing the newborn in the infant seat

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Checking for cervical dilation

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Placing the client in a supine position

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Checking the client’s blood pressure

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Administer a prescribed antibiotic.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Wash her hands for two minutes before care.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Wear a mask when providing care.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Pain

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Disalignment

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Cool extremity

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Lack of exercise

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hormonal disturbances

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Lack of calcium

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The infant no longer complains of pain.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The buttocks are 15° off the bed.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The legs are suspended in the traction.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Uses a Steinman pin

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Requires that both legs be secured

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Utilizes Kirschner wires

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Serum collection (Davol) drain

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Client’s pain

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Nutritional status

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “I must check placement four times per day.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “I will report to the doctor any signs of indigestion.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Scant bleeding on the dressing

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Low-grade temperature

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hemoglobin of 7gm

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client has traveled out of the country in the last six months.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client’s parents are skilled stained-glass artists.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client lives in a house built in 1990.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    High-seat commode

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Recliner

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    TENS unit

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Administer oxygen via nasal cannula.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Have narcan (naloxane) available.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Prepare to administer blood products.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    16-year-old female with scoliosis

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    12-year-old male with a fractured femur

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    10-year-old male with sarcoma

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Take the medication with milk.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Report chest pain.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Remain upright after taking for 30 minutes.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Handles the cast with the fingertips

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Petals the cast

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Dries the cast with a hair dryer

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “It will be alright for your friends to autograph the cast.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “If they don’t use chalk to autograph, it is okay.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Assisting the LPN with opening sterile packages and peroxide

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Telling the LPN that clean gloves are allowed

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Telling the LPN that the registered nurse should perform pin care

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Check the bowel sounds.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Assess the blood pressure.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Offer pain medication.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Russell’s traction

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Buck’s traction

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Halo traction

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “The CPM machine controls should be positioned distal to the site.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Palms rest lightly on the handles

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Elbows are flexed 0°

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Client walks to the front of the walker

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Attempt to replace the cord.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Place the client on her left side.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Elevate the client’s hips.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The tube will allow for equalization of the lung expansion.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Mother’s educational level

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Infant’s birth weight

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Size of the mother’s breast

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The presence of scant bloody discharge

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Frequent urination

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The presence of green-tinged amniotic fluid

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Maternal hypoglycemia

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Fetal bradycardia

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Maternal hyperreflexia

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Insulin requirements moderate as the pregnancy progresses.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A decreased need for insulin occurs during the second trimester.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Providing a calm environment

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Obtaining a diet history

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administering an analgesic

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Down syndrome

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Respiratory distress syndrome

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Turner’s syndrome

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Magnesium sulfate

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Calcium gluconate

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Dinoprostone (Prostin E.)

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Slow the infusion rate and turn the client on her left side.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    An affected newborn has unaffected parents.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    An affected newborn has one affected parent.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Because it is a state law

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    To detect cardiovascular defects

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Because of her age

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    An apical pulse of 100

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    An absence of tonus

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Cyanosis of the feet and hands

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Supplemental oxygen

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Fluid restriction

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Blood transfusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Increasing fluid intake

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Limiting ambulation

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administering an enema

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    14 pounds

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    16 pounds

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    18 pounds

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Determines the lung maturity of the fetus

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Measures the activity of the fetus

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Shows the effect of contractions on the fetal heart rate

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The urethral opening is absent

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The urethra opens on the top side of the penis

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The urethral opening is enlarged

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Alteration in coping related to pain

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Potential for injury related to precipitate delivery

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Alteration in elimination related to anesthesia

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Antibiotics

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Antipyretics

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Antivirals

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Nitroglycerin

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Ampicillin

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Propranolol

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Avoid exercise because it fatigues the joints.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Take prescribed anti-inflammatory medications with meals.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Alternate hot and cold packs to affected joints.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Mylanta 30 ccs m 4 hours via NG

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Cimetadine 300mg PO m.i.d.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hallucinogenic drugs induce a state of altered perception.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Depression and suicidal ideation

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Tachycardia and diarrhea

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Muscle cramping and abdominal pain

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Right breech presentation

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Right occipital anterior presentation

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Left sacral anterior presentation

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Bronchiolar inflammation and dyspnea

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hypersecretion of abnormally viscous mucus

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Infectious processes causing mucosal edema

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Serve high-calorie foods she can carry with her.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Encourage her appetite by sending out for her favorite foods.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Serve her small, attractively arranged portions.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The nurse covers the lesions with a sterile dressing.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The nurse wears gloves when providing care.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The nurse administers a prescribed antibiotic.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    15 minutes after the infusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    30 minutes before the fourth infusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    One hour after the infusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Refrain from keeping the diaphragm in longer than four hours

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Keep the diaphragm in a cool location

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Have the diaphragm resized if she gains five pounds

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “I’m wearing a support bra.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “I’m expressing milk from my breast.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Facial pain

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Absence of ability to smell

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Absence of eye movement

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Cause diarrhea

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Change the color of her urine

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Cause mental confusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Check the calcium level.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Perform a pregnancy test.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Monitor apical pulse.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Limit the client’s activity.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Encourage a high-carbohydrate diet.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Use an incentive spirometer to improve respiratory function.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Pregnancy

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A titanium hip replacement

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Allergies to antibiotics

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Changes in vision

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Nausea

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Urinary frequency

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client with hypertension being maintained on Lisinopril

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client with chest pain and a history of angina

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Once per day in the morning

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Three times per day with meals

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Once per day at bedtime

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The lens controls stimulation of the retina.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The lens orchestrates eye movement.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The lens focuses light rays on the retina.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Anesthetize the cornea

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Dilate the pupils

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Constrict the pupils

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Allow five minutes between the two medications.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The medications may be used together.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The medications should be separated by a cycloplegic drug.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Orange

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Violet

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Red

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Report ankle edema

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Check his blood pressure daily

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Refrain from using a microwave oven

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    1900

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    1200

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    1000

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Increase intake of meats.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Avoid citrus fruits.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Perform pericare with hydrogen peroxide.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Treat anemia

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Create a synergistic effect

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Increase the number of white blood cells

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    TB skin test

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Rubella vaccine

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    ELISA test

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    30 minutes before meals

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    With each meal

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    In a single dose at bedtime

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Is the opening on the client’s left side

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Is the opening on the distal end on the client’s left side

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Is the opening on the client’s right side

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Ask the client to void.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Assess the blood pressure for hypotension.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administer oxytocin.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The need for oxygen therapy

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A history of claustrophobia

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    A permanent pacemaker

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Colorful crib mobile

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Hand-held electronic games

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Cars in a plastic container

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A schedule of strenuous exercise will improve muscle strength.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Rest periods should be scheduled throughout the day.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Dulcolax suppository

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Docusate sodium (Colace)

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Methyergonovine maleate (Methergine)

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client’s knowledge of the signs of preterm labor

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client’s feelings about the pregnancy

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Whether the client was using a method of birth control

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    .45 normal saline

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Dextrose 1% in water

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Lactated Ringer’s

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Assess the client for allergies.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Bolus the client with IV fluid.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Tell the client he will be asleep.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Provide immunity against Rh isoenzymes

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Prevent the formation of Rh antibodies

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Eliminate circulating Rh antibodies

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Application of a short inclusive spica cast

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Stabilization with a plaster-of-Paris cast

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Surgery with Kirschner wire implantation

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Strain his urine

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Increase his fluid intake

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Report urinary frequency

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Antivirals

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Antibiotics

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Immunosuppressants

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Mydriatics to facilitate removal

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Miotic medications such as Timoptic

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    A laser to smooth and reshape the lens

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Placing mirrors in several locations in the home

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Placing a picture of herself in her bedroom

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Prevent the need for dressing changes

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Reduce edema at the incision

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Provide for wound drainage

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Mongolian spots

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Scrotal rugae

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Head lag

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Hematuria

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Muscle spasms

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Dizziness

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client is experiencing an auditory hallucination.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The client is having a delusion of grandeur.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The client is experiencing paranoid delusions.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Obtain a new bottle and label it with the date and time of first use.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Ask the ward secretary when the solution was requested.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The baby is hypothermic.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    The baby is experiencing bradycardia.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The baby’s hands and feet are blue.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Lessen the amount of cellular damage

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Prevent the formation of blisters

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Promote movement

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Passing water through a dialyzing membrane

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Eliminating plasma proteins from the blood

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Lowering the pH by removing nonvolatile acids

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Administer an antibiotic.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Contact the physician for an order for immune globulin.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administer an antiviral.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    The client should be placed in a room with negative pressure.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Infection requires close contact; therefore, the door may remain open.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    “The pain will go away in a few days.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    “The pain is psychological because your foot is no longer there.”

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Head of the pancreas

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Proximal third section of the small intestines

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Stomach and duodenum

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Fruits

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Salt

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Pepper

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Have a Protime done monthly.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Eat more fruits and vegetables.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Drink more liquids.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Turn his head to the left side and hyperextend the neck

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Take slow, deep breaths as the catheter is removed

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Allergies to pineapples and bananas

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A history of streptococcal infections

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Prior therapy with phenytoin

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Using oil- or cream-based soaps

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Flossing between the teeth

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    The intake of salt

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Apply the new tie before removing the old one.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Have a helper present.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Turning the client to the left side

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Milking the tube to ensure patency

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Slowing the intravenous infusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Digoxin

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Epinephrine

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Aminophyline

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    Which site for temperature measurement would the nurse most likely use on a neonate

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Tire easily

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Grow normally

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Need more calories

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Determine lung maturity

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Measure the fetal activity

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Show the effect of contractions on fetal heart rate

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Instruct the client to push.

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Perform a vaginal exam.

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Turn off the Pitocin infusion.

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Atrial flutter

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A sinus rhythm

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Ventricular tachycardia

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Be injected into the deltoid muscle

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Be injected into the abdomen

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Aspirate after the injection

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Administer the medications together in one syringe

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Administer the medication separately

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Douche after intercourse

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Void every three hours

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Obtain a urinalysis monthly

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Placing the client in seclusion

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Emptying the Foley catheter of the preeclamptic client

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Feeding the client with dementia

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    A tracheotomy set

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    A padded tongue blade

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    An endotracheal tube

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    Which site for temperature measurement would the nurse most likely use on a neonate

    A.

    Cats

    Which site for temperature measurement would the nurse most likely use on a neonate

    B.

    Dogs

    Which site for temperature measurement would the nurse most likely use on a neonate

    C.

    Turtles

    Which site for temperature measurement would the nurse most likely use on a neonate

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • Which site for a temperature measurement would the nurse most likely use on a neonate?

    For best results in babies and toddlers up to 3 years of age, the American Academy of Pediatrics advises taking the temperature in the rectum. This is done by placing a thermometer in the baby's anus. This method is accurate and gives a quick reading of the baby's internal temperature.

    What route would the nurse check the temperature of a newly delivered baby quizlet?

    The nurse must assess the neonate's temperature using the axillary route. This method is a safe and accurate measurement of temperature. Rectal temperatures should not be obtained for a neonate because there is a risk of perforation.

    Which body site is generally considered to be the most accurate for obtaining temperatures?

    Rectal measurement. Taking a rectal measurement is the most reliable way to obtain a core temperature value. Result variation with this type of measurement is low and the precision is particularly high. The normal temperature range is approximately between 36.6 °C and 38.0 °C.

    Which site would the nurse choose for assessing the pulse in a child?

    Explanation: The most appropriate location for assessing the pulse of an infant is the brachial artery, which travels from the axilla down the ventral surface of the upper arm to the cubital fossa.

    site temperature measurement nurse neonate

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